Addison Fire Board

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ADDISON FIRE BOARD

Doing business as

Addison EMS

Practice address

319 E Main St
Addison, MI 49220-9780

Phone

(517) 547-6776

Fax

(517) 547-4179

NPI assigned

Jun 19, 2006

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Eugene Weyant

Title

EMS Captain

Phone

(517) 547-6776

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ADDISON EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1841235264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E MAIN ST",
            "city": "ADDISON",
            "state": "MI",
            "postal_code": "492209780",
            "telephone_number": "517-547-6776",
            "fax_number": "517-547-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MAIN ST",
            "city": "ADDISON",
            "state": "MI",
            "postal_code": "492209780",
            "telephone_number": "517-547-6776",
            "fax_number": "517-547-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON FIRE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WEYANT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "517-547-6776"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "087969",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2768739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADDISON EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADDISON EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Attending Angels
• Body Balance Wellness
• Karen Calkins
• Family Medical Center of Michigan,Inc (Family Medical Center Addison Middle School)
• Family Medical Center of Michigan,Inc (Family Medical Center Addison Elementary School)

• Land Ambulance in Addison, MI
• Providers in Addison, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.